Clase III, Mordida cruzada posterior, Mordida cruzada anterior, Mordida de ponta a ponta, Deep bite, Arcadas estrechas, Arcos assimétricos, Desvio da linha média maxilar, Desvio da linha média mandibular, Desviación de la línea media, Apiñamiento, Rotaciones
Distalización
, Nivelamento da curva de Spee
, Extrusión
, Intrusión
, Expansión
, Proclinación
, IPR
, Elásticos: Clase III
Courtesy of Dr K. Malekian,
2018
Treatment Summary
Patient Information
- Age: 30
- Gender: male
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 21 meses
Cantidad de alineadores
- Maxillary: 32 + 33 + 20 = 85
- Mandibulary: 32 + 33 + 20 = 85
Aligner Wear time
- 10 day aligner change for treatment aligner. Refinement aligner change range between 7-5 days.
Results achieved
- Relación clase I conseguida
- Relación clase I mantenida
- Guía funcional de caninos en ambos lados
- Mordida cruzada anterior corregida
- Mordida cruzada posterior corregida
- Normal overjet and overbite achieved
- Mordida profunda mejorada
- Resalte mejorado
- Significant improvement ofoverbite
- Mejora significativa del resalte
- Coincidencia de líneas medias
- Inclinación axial correcta de incisivos
- Curva de Spee nivelada
- Arcadas alineadas y coordinadas
- Alineación de ambas arcadas a través de desrrotación
- Forma de la arcada mejorada
- Aesthetic smile linewas achieved
- Todos los objetivos del tratamiento se lograron en el caso
- Se lograron arcadas armoniosas
Comentarios
- Determine space selection was the key factor to resolve the severe crowding in the upper and lower arch
- Staging was also a key factor: We started with high expansion of upper molars and premolars and when gained enough space we continued with arch development and retraction to extrude upper canines
- IPR was planned at upper and lower premolars
- Carefull IPR tracking with distalization movement of upper and lower premolars allowed space in order to align high angle rotation of canines 2.3,3.3 and 4.3 .
- Conventional bite ramps at the buccal surface of lower four incisors were used in order to correct the deepbite
- Class III elastics were used in order to improve the anterior/posterior relationship and turn Class III canine and molar into full class I molar and canine.
- Proclination of upper laterals 1.2 and 2.2 in order to correct the anterior crossbite.
- Arch coordination tool at clincheck Pro was very helpfull.
- The maxilla and mandible arch form at stage U0-L0 were very asymmetric and required arch form coordination.
- Lower incisor proclination and simultaneously lower canines were retracted and distalized